乳房外科 - 整型式乳癌手術

   

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整型式乳癌手術

      傳統上,乳癌患者需要手術切除全部乳房,但是經過20年的研究,證實了乳癌手術只切除部份的乳房(即乳房保留手術),與全部乳房切除的存活率相同。目前超過60%的歐美及日本乳癌病患接受乳房保留手術,超過24%的台灣乳癌患者接受乳房保留手術。
      由於乳房保留手術後必須受放射治療,治療後經常引起手術部位變形及乳頭移位,降低了乳房的美觀。因此,有整型式乳癌切除手術(Oncoplastic surgery)的提倡。手術的原理是利用殘存的乳腺做有效的轉位,彌補切除部位的空洞,同時必須考量腫瘤分布情況,做完整的切除。經過這樣的手術,乳房不會凹陷變形,癌症部位也因充分的術前定位,得以完整切除。 

參考文獻:

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    整型式乳房部分切除手術: 乳房轉位技術的綜論
  2. Benjamin O. Anderson, Chin-Yau Chen (陳慶耀). Comparative study of surgical margins in oncoplastic surgery and quadrantectomy in breast cancer, comment. Breast disease 17(1): 61-62, 2006 
    整型式乳癌切除手術與傳統乳癌象限切除對於切除安全距離的比較
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    整型式乳癌切除手術: 以乳房解剖構造為基礎的革新技術
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    台灣女性對於乳房保留及全部切除的選擇
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    整型式乳癌切除的乳癌治療(西班牙文教科書章節)
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    整型式乳癌切除手術(英文教科書章節)
Written by 網站○ Created: Tuesday, 21 May 2013 16:48
COM_CONTENT_MODIFIED_BY Last Updated: Tuesday, 09 April 2019 15:17

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